Manual Medicine and Spinal Manipulation: Improve Health and Reduce Pain


You will receive a thorough diagnosis and treatment of reversible functional problems of the musculoskeletal system (muscles and joints) with particular attention to the spine. Techniques and hands-on therapies include: osteopathy, chiropractic therapy, physical therapy, and breathwork techniques.

Manual Medicine is sometimes called Manipulative Medicine/Therapy, because it includes mobilization and manipulation techniques.

How manual medicine can help you:

Manual Medicine treats pain in the musculoskeletal system. It can help you with:

  • Acute and chronic musculoskeletal pain (particularly around the spine)
  • Headache
  • Neck pain
  • Back pain
  • Sciatica
  • Shoulder pain
What the research is showing:

There have been at least 40 clinical trials and as many systematic reviews of the effects of spinal manipulation in low back pain. Several high-quality studies showed strong benefits from spinal manipulation for patients with acute or sub-acute low back pain.

The Agency of Health Care Policy and Research, the American College of Physicians, and the American Pain Society support manual medicine and its inclusion into the widely published treatment guidelines. For neck pain, research shows that spinal manipulation and mobilization are recommended in combination with exercises.

We accept insurance for this service.

Our physicians specializing in Manual Medicine and Spinal Manipulation are:

wolf_mehling KimWashington

Please visit our Appointments page to schedule a visit.


Howie-Esquivel J, Lee J, Collier G, Mehling W, Fleischmann K. Yoga in Heart Failure Patients: A Pilot Study; Journal of Cardiac Failure, J Card Fail (2010) 16(9):742-49.

Mehling WE, Gopisetty V; Acree M; Pressman A; Carey T; Goldberg H;  Hecht FM; Avins AL: Acute Low Back Pain and Primary Care: How to Define Recovery and Chronification? Spine (2011), in press

Mehling WE, Wrubel J, Daubenmier J, Price C, Kerr C, Silow T, Gopisetty V, Stewart AL: Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies. Philosophy, Ethics, and Humanities in Medicine (2011)

Chou R, Huffman LH: Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline.Ann Intern Med 2007:147(7):492-505

Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, Owens DK Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007 147(7)478-91

Koes BW, Van Tulder MW, Ostelo R, Burton AK, Waddell G. Clinical Guidelines for the Management of Low Back Pain in Primary Care. Spine 2001;26:2504-2514

Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine: a systematic review of the literature. Spine 1996;21:1746-1760

Hoving, J. L., B. W. Koes, et al. (2002). Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Ann Intern Med136(10): 713-222

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